CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Castleview Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,358
Cash Discount Price: $11,564
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Castleview Hospital is $6,358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,564. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.12x the Medicare baseline. Located in 300 North Hospital Drive, Price, UT.

Cash / Self-Pay

$11,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,358

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)

Cash / Self-Pay: $11,564 (204%)

Insurance Median: $6,358 (112%)

Cash: $11,564 (204% of Medicare)

Ins. Median: $6,358 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Phcs	$1,750	31%
Tricare	$5,644	99%
Veterans Admin - Governmental	$5,644	99%
Advantra	$6,358	112%
Aetna	$6,358	112%
Blue Cross Blue Shield	$6,358 - $12,432	112%
Humana	$6,358	112%
Medicare (plans)	$6,358	112%
Molina	$6,358	112%
Mvp Healthcare	$6,358	112%
Sierra	$6,358	112%
Umwa	$6,358	112%
UnitedHealthcare	$6,548	115%
American Health Plan Of Utah	$6,676	118%
Wise	$10,358	182%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $11,564.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Castleview Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.